Clinical Examination Skills in Paediatrics For MRCPCH Candidates and Other Practitioners

Examining children presents unique challenges for trainees and new doctors in paediatrics. Paediatric patients vary greatly in age and development, often find it difficult to describe their symptoms, and can behave unpredictably in clinical settings. Clinical Examination Skills in Paediatrics helps MRCPCH candidates and other practitioners learn effective history taking and fundamental examination techniques.

Clear and concise chapters–with contributions from a team of paediatric specialists–demonstrate the clinical examination and questioning techniques used in daily practice. Emphasis on the intellectual processes involved in decision making assists both trainees preparing for a formal examination as well as new clinicians faced with a difficult diagnostic problem. Topics include cardiovascular and respiratory examination, examining a child with a neuromuscular disorder, musculoskeletal examination, and taking history from a child with diabetes and a rheumatological condition.

• Includes access to a companion website containing high-quality videos that demonstrate techniques, procedures and approaches
• Features commentary by experienced practitioners which offer observations and deductions at each stage of the examination process
• Offers tips for communicating effectively with the patients using appropriate lay terms
• Helps translate the symptoms and signs experienced by patients into medical-speak
• Covers all the skills tested in the MRCPCH Clinical exam

Clinical Examination Skills in Paediatrics is the perfect study and reference guide for paediatrics trainees, MRCPCH candidates, foundation doctors, allied healthcare professionals, and anyone looking to improve their clinical and communication skills in paediatrics.

EDITORS

A. MARK DALZELL is a retired Consultant in Paediatric Gastroenterology at Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

IAN SINHA is Consultant in Paediatric Respiratory Medicine and Honorary Senior Lecturer in Child Health at Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

List of contributors viii

How to use this book xiii
Ian Sinha and A. Mark Dalzell

About the companion website xvi

Chapter 1 Rules of engagement (with the clinical examination and the examiners) 1
Richard E. Appleton

Chapter 2 Tips for the communication station 4
Andrew Riordan

Chapter 3 Translating into medical-speak 7
Daniel B. Hawcutt and Ian Sinha

Chapter 4 Cardiovascular examination 11
Michael T. Bowes and Caroline B. Jones

Chapter 5 Respiratory examination 18
Anna Shawcross and Sarah J. Mayell

Chapter 6 Respiratory examination in a child with neurodisability 23
Clare P. Halfhide

Chapter 7 Gastrointestinal examination 28
Anastasia Konidari and A. Mark Dalzell

Chapter 8 Examining a child with a renal transplant 33
Dean Wallace

Chapter 9 Examining a child with cerebral palsy 37
Rachel Kneen and Anand S. Iyer

Chapter 10 Cranial nerve and ocular examination 43
Richard E. Appleton

Chapter 11 Examining a child with a neuromuscular disorder (focusing on Duchenne muscular dystrophy) 50
Stefan Spinty and Anand S. Iyer

Chapter 12 Musculoskeletal examination 58
Liza J. McCann

Chapter 13 Examining a child with endocrine problems 76
Poonam Dharmaraj, Urmi Das and Renuka Ramakrishnan

Chapter 14 Examining a child with diabetes 82
Mark Deakin

Chapter 15 Examining a toddler with motor delay 85
Melissa Gladstone and Ruairi Gallagher

Chapter 16 Examining a toddler with speech delay 89
Ruairi Gallagher and Melissa Gladstone

Chapter 17 Examining a child with autism 93
Ruairi Gallagher and Melissa Gladstone

Chapter 18 Taking a history from a child with cardiovascular disease 96
Michael T. Bowes and Caroline B. Jones

Chapter 19 Taking a history from a child with asthma 100
Sarah J. Mayell and Anna Shawcross

Chapter 20 Taking a history from a child with cystic fibrosis 103
Antonia K.S. McBride and Kevin W. Southern

Chapter 21 Taking a history from a child with inflammatory bowel disease (Crohn disease and ulcerative colitis) 110
Anastasia Konidari and A. Mark Dalzell

Chapter 22 Taking a history from a child with renal transplant 113
Dean Wallace

Chapter 23 Taking a history from a child with diabetes 117
Mark Deakin

Chapter 24 Taking a history from a child with a rheumatological condition 122
Gavin Cleary

Index 129

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.